| NPI | 1235113242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BEACH Public Health Director 270-821-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2024-05-15 |